Individual
DYLAN LEITNAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
525 W OAKLAND AVE STE 205, JOHNSON CITY, TN 37604-1673
(423) 282-1700
Mailing address
203 ROY MARTIN RD, JOHNSON CITY, TN 37615-3125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6162
TN
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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